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Treatment for sudden collapse due to wind-stroke, attacks of wind-epilepsy, and all conditions where this formula is applicable. This is a purgative formula.
Dahuang (Rhei Radix et Rhizoma), Mangxiao (Natrii Sulfas), Nongpu (Magnoliae Officinalis Cortex), Zhishi (Aurantii Fructus Immaturus) (each 1 liang), Gancao (Glycyrrhizae Radix et Rhizoma) (5 qian; in *Xuanming Lun Fang*, the dosage of Gancao is double that of the other four herbs). Cut the medicinal materials into pieces, divide into three doses. For each dose, use 2 zhan of water and 3 slices of Shengjiang (Zingiberis Rhizoma Recens), decoct together until reduced to 7/10, remove the dregs, take warm, at any time, with the goal of achieving bowel movement as the limit.

Shuangjie San (Double Resolution Powder): Treats Shanghan (Cold Damage) or Shangfeng (Wind Strike), whether with or without sweating, where exterior symptoms are complete, accompanied by internal heat and dry mouth.
Tongsheng San (Universal Benefit Powder) and Tianshui San (Sky Water Powder) (half of each). Cut the medicinal materials into pieces, use 2 liang per dose, 2 zhong of water, 3 slices of Shengjiang (Zingiberis Rhizoma Recens), and 3 roots of Congbai (Allii Fistulosi Bulbus), decoct together until reduced to 7/10, remove the dregs, take slightly warm to induce sweating.

Qingjie San (Clearing Resolution Powder): Treats all types of colds.
Cangzhu (Atractylodis Rhizoma) (stir-fried), Jingjie (Perillae Folium) (each 2 liang), Gancao (Glycyrrhizae Radix et Rhizoma) (1 liang), Mahuang (Ephedrae Herba) (1.5 liang). The above four herbs are cut into pieces, use 1 liang per dose, 2 zhong of water, 3 slices of Shengjiang (Zingiberis Rhizoma Recens), and 1 stem of Congbai (Allii Fistulosi Bulbus), decoct together until reduced to 7/10, remove the dregs, take slightly warm, cover with blankets to induce sweating as the limit.

Banxia Jupi Tang (Pinellia and Tangerine Peel Decoction): Treats persistent vomiting of all kinds.
Renshen (Ginseng Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Baifuling (Poria), Gancao (Glycyrrhizae Radix et Rhizoma), Huangqin (Scutellariae Radix), Banxia (Pinelliae Rhizoma), Nongpu (Magnoliae Officinalis Cortex), Huoxiangye (Agastaches Herba), Gegen (Puerariae Lobatae Radix), Jupi (Citri Reticulatae Pericarpium) (equal parts). Cut the medicinal materials into pieces, use 1 liang per dose, 1 bowl of water, decoct until reduced to 7/10, remove the dregs, add a little fresh juice of Shengjiang (Zingiberis Rhizoma Recens), take warm, at any time.

Example of Tonifying and Dispersing Simultaneously:
Zhu Danxi said: Some suffer from the invasion of heaven and earth's cold qi, while others suffer from eating raw and cold foods. Therefore, Shanghan disease must involve physical exposure to cold qi and oral intake of cold substances. Thus, cases belonging to internal injury account for eight or nine out of ten. The method is to use only Buzhong Yiqi Tang (Tonify the Middle and Augment Qi Decoction), modifying it according to the observed symptoms. For severe Qi deficiency, use a small amount of Fuzi (Aconiti Lateralis Radix Praeparata) to facilitate the action of Renshen (Ginseng Radix) and Baizhu (Atractylodis Macrocephalae Rhizoma) (see Buzhong Yiqi Tang formula in the section on Labor Fatigue in Miscellaneous Diseases). Internal injury diseases specifically follow Li Dongyuan's *Differentiation of External and Internal Injuries*, which is very detailed. Many people in the world suffer from this, but some have phlegm or external pathogens complicated, with stagnant heat inside causing fever; these should primarily tonify Yuan Qi (Original Qi). One should examine what is complicated and use combined medications.
A man who usually loved alcohol, due to a violent cold wind and thin clothing, felt fatigue and loss of appetite. Half a day later, after sleeping, he had high fever, body pain all over as if beaten, and slight aversion to wind. At dawn, his pulse was floating and large in all six positions, empty upon pressure, especially on the left. I treated him as extreme deficiency suffering from wind-cold. Renshen (Ginseng Radix) as Sovereign, Huangqi (Astragali Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Danggui (Angelicae Sinensis Radix) root body as Ministers, Cangzhu (Atractylodis Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma), Mutong (Akebiae Caulis), Gegen (Puerariae Lobatae Radix) as Assistants and Guides. Given in a large dose. After five doses, he sweated profusely like rain, changed blankets three times before sleeping. Upon waking, all symptoms disappeared.
Brother Lu, 49 years old, had blood in stool for two years, with a deep, slow, and choppy pulse, yellow complexion, and mental fatigue. In September, due to labor fatigue and fever, he self-medicated with Shen Su Yin (Ginseng and Perilla Decoction) for two doses, and the fever subsided. Upon rising early and exerting himself slightly, encountering cold caused his hands' backs and face to turn purple-black, fainting briefly then waking up with high fever, delirium, dry mouth, and unbearable body pain preventing sleep. His pulse was irregular in all three positions, slightly rapid, empty upon heavy pressure, with the left hand larger than the right. Prescribed Renshen (Ginseng Radix) 2.5 qian, Mahuang (Ephedrae Herba) with nodes and Huangqi (Astragali Radix) each 1 qian, Baizhu (Atractylodis Macrocephalae Rhizoma) 2 qian, Danggui (Angelicae Sinensis Radix) 0.5 fen, for three to five doses. He slept, woke up sweating profusely like rain, and stabilized. Two days later, relapse occurred with flank pain and coughing; if coughing did not occur during sleep but delirium and slight aversion to wind were present, his pulse was similar to before but slightly tight on the left. I said: This is weakness of constitution re-contracting cold. Use the previous prescription plus Banxia (Pinelliae Rhizoma) and Fuling (Poria) for more than ten doses, achieving stability again through heavy sweating. Later, he felt fatigued, unable to sit long, and lost appetite. Use Buzhong Yiqi Tang (Tonify the Middle and Augment Qi Decoction) removing cooling herbs, adding Shenqu (Massa Medicata Fermentata), Banxia (Pinelliae Rhizoma), and Sharen (Amomi Fructus Rotundus), taking fifty to seventy doses to stabilize.
Ye Junzhang of Hangzhou, in the twelfth lunar month, suffered from hunger during vegetarian fasting and worked in the cold, leading to fever and headache. The doctor prescribed Xiao Chaihu Tang (Minor Bupleurum Decoction), resulting in spontaneous sweating, confusion, deafness, and blindness. I diagnosed his pulse as large as a finger, seemingly forceful, with fever persisting. Prescribed Renshen (Ginseng Radix), Huangqi (Astragali Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Shu Fuzi (Prepared Aconiti Lateralis Radix), and Zhi Gancao (Honey-fried Glycyrrhizae Radix et Rhizoma) in a large dose. After one day, sweating decreased; after two days, fever halved, hearing slightly improved, and vision returned. By the fourth dose, Cangzhu (Atractylodis Rhizoma) was added to the previous prescription, taken twice more, inducing sweat and clearing fever. That day, Cangzhu and Fuzi were removed, and a smaller dose of the remaining prescription was taken for three days to stabilize.
Lu Zhongxiu, 66 years old, in January, endured hunger, cold exposure, and labor, resulting in headache, aversion to wind, fever, joint pain, and no sweat. The next day, delirium occurred, fever intensified but fluctuated, and was not extremely severe. Self-medicating with Shen Su Yin (Ginseng and Perilla Decoction) for two doses yielded no sweat. Taking another dose and covering with clothes induced heavy sweating, but fever persisted. On the fourth day, his pulse was surging and rapid in both hands, worse on the right. This was due to hunger, cold exposure, and labor; although the Yangming Channel received cold qi, attack methods are contraindicated. Urgent large-dose tonification is needed to restore deficiency; once Stomach Qi is sufficient, sweating will naturally resolve the condition. Prescribed Renshen (Ginseng Radix), Huangqi (Astragali Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Danggui (Angelicae Sinensis Radix) root body, Chenpi (Citri Reticulatae Pericarpium), and Zhi Gancao (Honey-fried Glycyrrhizae Radix et Rhizoma), adding one slice of Shu Fuzi (Prepared Aconiti Lateralis Radix) per dose, taken five times within a day and night. By the third day, mouth was slightly dry, speech coherent, symptoms resolved but fever remained. Fuzi was removed and Shaoyao (Paeoniae Radix Alba) added. Two days later, desire for food appeared, meat broth was occasionally given. Three days later, spirit fully recovered. About two days later, spontaneous sweating occurred and fever subsided. Pulse was no longer rapid, but the surging pulse remained somewhat full and large. In an elderly person, mistaken sweating leads to subsequent deficiency signs. Continued with the previous prescription. The next day, he said: "My bowels have been ill; since falling sick, I haven't had a bowel movement, and now my anus feels constricted and painful, with a sensation of straining without passage, unbearable." Doctors would likely prescribe Dahuang (Rhei Radix et Rhizoma) or Badou (Crotonis Fructus). I said: The stool is not truly constipated; Qi is deficient due to mistaken sweating, unable to fill the abdomen, lacking strength to strain. Continue with tonifying medicine, meat porridge, and Rongsu (Cynomorii Herba). In one and a half days, soak the lower body in strong scallion and pepper soup, passing five or six soft stool lumps. Pulse remained large and unconsolidated, indicating Qi and Blood had not yet recovered. Two more doses of the previous prescription. Two days later, urinary retention, lower abdominal distension and discomfort, worsening when lying down, only dripping when supine. I said: The tonifying medicine was not fully effective; double the Renshen (Ginseng Radix) in the previous prescription and take in a large dose. After two days, urination became smooth and he stabilized.
Wang Ji treated a man in his thirties who contracted cold and fever. The doctor used dispersing methods without success, then Xiao Chaihu Tang (Minor Bupleurum Decoction), leading to intense heat, excessive sweating, confusion, disorientation, feeling as if floating in clouds when lying or walking. Accompanied by polyphagia, frequent seminal emissions. Observing his fat-like physique, I said: This is internal fire blazing, extreme deficiency. His pulse was floating and surging like a finger. I stated: *Mai Jing* says "If the pulse does not diminish after sweating, death occurs"; legally untreatable. Fortunately, although the pulse was large, it lacked force upon pressure; although the form was elongated, the complexion was still dark-green, so it could be saved. The doctor treated it as an external contraction, thus weakening the deficiency further, which was erroneous. The Classics state: "Where evil gathers, Qi must be deficient." Priority should be given to internal injury. Prescribed Renshen (Ginseng Radix), Huangqi (Astragali Radix), Danggui (Angelicae Sinensis Radix), Baizhu (Atractylodis Macrocephalae Rhizoma) in a large dose with minor additions of Guizhi (Cinnamomi Ramulus) and Fuzi (Aconiti Lateralis Radix Praeparata). After ten doses, illness reduced by two or three tenths. Then reduced Guizhi (Cinnamomi Ramulus) and Fuzi (Aconiti Lateralis Radix Praeparata), adding Shaoyao (Paeoniae Radix Alba) and Huangqin (Scutellariae Radix), taken for ten more doses. The patient finally realized he was lying on the bed and standing on the ground, rejoicing: "I can avoid death!" Long-term use eventually led to recovery.
Xue Yuanshi treated a 79-year-old man in mid-winter preparing to go out to his wife's family home, engaging in sexual activity, resulting in headache, fever, vertigo, asthma, copious phlegm, frequent urination, dry mouth with thirst, tongue prickles and shrinking like a lychee, black cracked lower lip, red face and eyes, irritability, insomnia, occasional sensation of smoke/fire rising in the throat, temporarily relieved by drinking cold tea, nearing death. Pulse was surging, large, boundless, and forceful; body felt hot to touch. This was Kidney channel deficiency fire roaming externally. Prescribed Shiquan Dabu Tang (Ten Complete Tonifying Decoction) plus Shanzhuyu (Corni Fructus), Zexie (Alismatis Rhizoma), Danpi (Moutan Cortex), Shanyao (Dioscoreae Rhizoma), Maidong (Ophiopogonis Radix), Wuweizi (Schisandrae Fructus), and Fuzi (Aconiti Lateralis Radix Praeparata) in one zhong. He slept soundly for a long time, pulse and symptoms reduced by three or four tenths. Prescribed Bawei Wan (Eight-Ingredient Pill) subsequently, all symptoms receded. Recovered after avoiding cold.
*Benshi Fang* Huangqi Jianzhong Jia Danggui Tang (Astragalus and Middle-Warming Decoction with Added Angelica): Treats fever, headache, floating and rapid pulse with delayed and weak Chi position. It is appropriate to first take this medicine to nourish Blood, rather than using Mahuang (Ephedrae Herba) or Guizhi (Cinnamomi Ramulus) type formulas.
Huangqi (Astragali Radix), Danggui (Angelicae Sinensis Radix) (each 1.5 liang), Shaoyao (Paeoniae Radix Alba), Guizhi (Cinnamomi Ramulus), Gancao (Glycyrrhizae Radix et Rhizoma) (each 1 liang). Cut into pieces, take 5 qian per dose with 3 slices of ginger and one jujube, decoct in water, three times daily and two times nightly. If the pulse remains deep and slow, administer another dose.
Haizang Huangqi Tang (Sea Storehouse Astragalus Decoction): Treats Shanghan (Cold Damage) affecting both channels, spasms, deficiency of Sanjiao Qi with spontaneous sweating and sweating of hands and feet (possibly more on the back of hands), limb tremors, heavy waist and legs, red face and eyes, desire to sleep, high fever on head and face, heat in hypochondrium, warm hands and feet, heat in palms, spontaneous diarrhea without thirst, difficult or normal stools, dry mouth/throat, desire to drink hot liquids but not wanting to drink, or slight desire to drink, impending retching, chest fullness, abdominal pain, intermittent laughter, crying, sighing, or confused speech (not delirium/hallucinations, but unsettled Spirit). Illness begins between wakefulness and sleep, possibly with palpitations, minimal head/neck pain, normal gait. This is due to excess Yin and deficiency Yang. Pulses in both hands vary in depth and speed, sometimes left, sometimes right, showing five types of Yin pulses (deep, choppy, weak, minute, string-taut), completely powerless upon pressure, diminished upon superficial and deep palpation. Prioritize gentle treatment first, then urgent. Gentle treatment uses Huangqi Tang (Astragalus Decoction).
Huangqi Tang Formula:
Renshen (Ginseng Radix), Shengjiang (Zingiberis Rhizoma Recens), Huangqi (Astragali Radix), Baifuling (Poria), Baizhu (Atractylodis Macrocephalae Rhizoma), Shaoyao (Paeoniae Radix Alba) (each 1 liang), Gancao (Glycyrrhizae Radix et Rhizoma) (7 qian). For retching, add Huoxiang (Agastaches Herba) and Chenpi (Citri Reticulatae Pericarpium) each 5 qian; for severe cases, add Pao Ganjiang (Prepared Zingiberis Rhizoma) 1 qian. Cut into pieces, decoct in water, adjust dosage based on symptoms. For severe constipation, use Tiaozhong Wan (Regulate Middle Pill).
Tiaozhong Wan Formula:
Renshen (Ginseng Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Baifuling (Poria), Ganjiang (Zingiberis Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma) (equal parts). Grind into powder, make honey pills, 10 or 5 pills per liang, take 1-2 pills decocted in a little water. If illness is urgent, add 1 qian of Ganjiang (Zingiberis Rhizoma) to Huangqi Tang (Astragalus Decoction) per dose. For constipation, use Lizhong Wan (Regulate Middle Pill).
Lizhong Wan Formula:
Renshen (Ginseng Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Ganjiang (Zingiberis Rhizoma) (roasted, or substitute with Shengjiang (Zingiberis Rhizoma Recens) if heat is a concern), Zhi Gancao (Honey-fried Glycyrrhizae Radix et Rhizoma) (equal parts). Grind into powder, make honey pills, 5 pills per liang, dissolve in white water. Prioritize gentle then urgent. If even more urgent, no sweat: use Fuzi Ganjiang Gancao Tang (Aconite, Ginger, and Licorice Decoction); if spontaneous sweat: use Baizhu Fuzi Gancao Tang (Atractylodes, Aconite, and Licorice Decoction). Select from Sini Tang (Frigid Extremities Decoction), Zhenwu Tang (True Warrior Decoction), or Tongmai Sini Tang (Pulse-Unblocking Frigid Extremities Decoction) based on pulse and symptoms.
Danxi's *Juxin Shu* states that mixed pathogens require mixed treatment methods. For example, aversion to wind and fever from a cold indicates external pathogen; floating and rapid pulse with tightness at the Qi Kou indicates food stagnation; fatigue with empty feeling upon deep pressure, chest/diaphragm fullness radiating to hypochondrium, and string-taut pulse upon light pressure indicates Liver pathogen from anger; fine, deep, weak Left Chi pulse indicates past sexual excess. Treatment should prioritize addressing the cold last, first observing complexion and constitution strength, using tonifying middle, resolving food stagnation, moving Qi, clearing stomach heat, and using pungent ginger to guide. Then middle Qi returns, stagnation moves, fluids harmonize, whole-body sweating occurs, and external pathogens resolve. Physicians unwilling to carefully investigate, focusing only on dispersing external pathogens without considering complicated pathogens or questioning pulse origins and emotional attachments, skillfully apply mixed treatments. This results in self-weakening of Righteous Qi and solidification of Evil Qi, all due to incompetent practitioners.
Lou Quanshan collected treatments from Danxi, Haizang, and other sages on Shanghan (Cold Damage), all using tonifying and dispersing simultaneously. This truly follows the Classic principle: "Success and failure lie hidden in movement; continuous movement leads to transformation," and "Wind, rain, cold, and heat cannot injure alone without deficiency." Generally, external wind-cold invasion requires prior internal injury and deficiency from excessive labor/movement before pathogens enter. Thus, within one family, some get sick and others don't; deficiency allows pathogen entry, while robustness prevents it. Therefore, eight or nine out of ten Shanghan cases belong to internal injury. Ignorant students believe there is no tonification method for Shanghan, seeing only fever without distinguishing deficiency/excess, uniformly applying sweating/purging, leading to premature death everywhere. These are criminals of the medical profession. Collecting this method after Zhang Zhongjing, responses are immediate, guiding people to avoid the error of tonifying deficiency and purging excess.
Regarding the outline text above, seeing physicians rigidly adhering to "no tonification for Shanghan" and violating the rule against tonifying deficiency/purging excess, I comprehensively described it, deleting purely internal injury cases and mediocre notes from Danxi's medical records, adding recent physicians' notes as living examples of deficiency contracting cold. Enlightenment depends on the individual; do not be rigid. I once treated a woodblock carver who, after marriage in winter, contracted cold with complete exterior symptoms. I ordered Renshen (Ginseng Radix) and Zisu Jingye (Perillae Caulis et Folium) each 1 liang decocted in water to drink. Sweating occurred and he recovered. A pregnant woman in spring-summer transition suffered warm disease with headache, fever, no aversion to wind, and thirst. Before treatment, she miscarried with massive blood loss, fainting nearly to death. I ordered Maidong (Ophiopogonis Radix) one jin, with Danshuye (Lophatheri Herba) and Xiangchi (Fermented Soybean), frequently administered. Sweating occurred and she recovered. Using labor-relapse treatment method, obtaining such living rules makes near-perfect cure possible for such diseases.

Han Zhihe's Harmonization According to Season Method:
Shanghan (Cold Damage) has cases suitable for sweating. The treatise generally mentions indications and pulses for sweating, such as floating and rapid pulse, floating and tight pulse, floating pulse with no sweat and wheezing, or floating pulse indicating exterior location. Now briefly listing several items, later generations rely only on general pulse characteristics, failing to distinguish Yin/Yang deficiency/excess in floating pulses, and unaware of unsuitable sweating conditions. Mistakenly administering exterior-dispersing medicines often transforms into Yang-toxin complications. Now categorizing patients with sweating/aversion to wind and no-sweat/aversion to cold into two grades, and prescribing formulas based on climate severity from after Start of Spring to before Start of Autumn, hopefully aiding learners' understanding.
For a patient in Feb-March, pulses in both hands are floating, rapid, slow, or tight, slightly soft upon pressure. If Cun, Guan, Chi positions have equal force, neither too large nor too small, do not immediately administer exterior-resolving medicine. This indicates interior symptoms seen but exterior pulse not yet manifest. Wait until Cun pulse force is small like Guan/Chi before administering exterior-resolving medicine. Generally, treating Shanghan (Cold Damage): observe symptoms without pulse, do not prescribe; see pulse without symptoms, prescribing minimally is harmless. For miscellaneous diseases, symptoms precede pulse; for Shanghan (Cold Damage), pulse precedes symptoms.
For a patient with floating, rapid, and tight pulses in both hands, named Shanghan (Cold Damage). If Cun pulse (front) is weak and Chi pulse (back) is strong, even without aversion to wind or spontaneous sweating, this indicates Yin Qi already abundant manifesting in pulse. Without medication to harmonize, aversion to wind and spontaneous sweating will follow. From after Start of Spring to before Clear Brightness, Tiaomai Tang (Regulate Pulse Decoction) is primary. From after Clear Brightness to before Grain in Ear, Gegen Chaihu Tang (Kudzu and Bupleurum Decoction) is primary. From after Grain in Ear to before Start of Autumn, Renshen Jiegeng Tang (Ginseng and Platycodon Decoction) is primary.
Tiaomai Tang Formula:
Gegen (Puerariae Lobatae Radix) (1 liang), Qianhu (Peucedani Radix) (deveined), Fangfeng (Saposhnikoviae Radix) (each 7.5 qian), Zhi Gancao (Honey-fried Glycyrrhizae Radix et Rhizoma) (0.5 liang). Make coarse powder, take 5 qian per dose, 1 zhan of water, 1 piece of Shengjiang (Zingiberis Rhizoma Recens) size of little finger, split, decoct to 7/10, remove dregs, take warm. If Cun pulse is weak as described, add 3 jujubes to decoct.
Gegen Chaihu Tang:
Gegen (Puerariae Lobatae Radix) (1.5 liang), Chaihu (Bupleuri Radix) (de-rooted, 1 liang), Shaoyao (Paeoniae Radix Alba), Jiegeng (Platycodonis Radix), Zhi Gancao (Honey-fried Glycyrrhizae Radix et Rhizoma) (each 7.5 qian), Nongpu (Magnoliae Officinalis Cortex) (0.5 liang). Cut into pieces, take 5 qian per dose, 1 zhan of water, 2 slices of Shengjiang (Zingiberis Rhizoma Recens), decoct to 7/10, remove dregs, take hot. If Cun pulse is weak as described, add 3 cun of Congbai (Allii Fistulosi Bulbus) to decoct.
Renshen Jiegeng Tang:
Renshen (Ginseng Radix), Jiegeng (Platycodonis Radix) (each 7.5 qian), Mahuang (Ephedrae Herba) (de-node, 1 liang), Shigao (Gypsum Fibrosum) (3 liang), Zhi Gancao (Honey-fried Glycyrrhizae Radix et Rhizoma) (7.5 qian). Take 5 qian per dose, 1 zhan of water, 5 spikes of Jingjie (Perillae Folium), decoct to 7/10, remove dregs, take hot. If Cun pulse is weak as described, add 2 fen of Mahuang (Ephedrae Herba) de-node to decoct.
For a patient with floating, rapid, and slow pulses in both hands, named Fengzhong (Wind Strike). If Cun pulse is weak and Chi pulse is strong, even without aversion to wind or spontaneous sweating, this indicates Yin Qi already abundant manifesting in pulse. Without medication to harmonize, aversion to wind and spontaneous sweating will follow. From after Start of Spring to before Clear Brightness, Bohe Tang (Mint Decoction) is primary. From after Clear Brightness to before Grain in Ear, Fangfeng Tang (Saposhnikovia Decoction) is primary. From after Grain in Ear to before Start of Autumn, Xiangxiong Tang (Costus and Ligusticum Decoction) is primary.
Bohe Tang:
Bohe (Menthae Haplocalycis Herba) (1 liang), Gegen (Puerariae Lobatae Radix), Renshen (Ginseng Radix), Zhi Gancao (Honey-fried Glycyrrhizae Radix et Rhizoma) (each 0.5 liang), Fangfeng (Saposhnikoviae Radix) (de-rooted, 2 liang). Cut into pieces, take 5 qian per dose, 1 zhan of water, decoct to 7/10, remove dregs, take hot. If after 3-5 doses Cun pulse is still weak, add 2 fen of Bohe (Menthae Haplocalycis Herba) to decoct.
Fangfeng Tang:
Fangfeng (Saposhnikoviae Radix) (de-rooted, 1 liang), Jiegeng (Platycodonis Radix) (3 qian), Zhi Gancao (Honey-fried Glycyrrhizae Radix et Rhizoma), Xuanjinhua (Inulae Flos) (each 0.5 liang), Nongpu (Magnoliae Officinalis Cortex) (3 fen). Cut into pieces, take 5 qian per dose, 2 zhan of water, 2 pieces of Shengjiang (Zingiberis Rhizoma Recens), decoct, take hot. If after 3-5 doses Cun pulse is still weak, add 5-7 spikes of Jingjie Sui (Perillae Flos) to decoct.
Xiangxiong Tang:
Chuanxiong (Ligustici Chuanxiong Rhizoma) (2.5 qian), Shigao (Gypsum Fibrosum) (2 liang), Shengma (Cimicifugae Rhizoma) (3 liang), Zhi Gancao (Honey-fried Glycyrrhizae Radix et Rhizoma), Zhi Nongpu (Processed Magnoliae Officinalis Cortex) (each 0.5 liang). Cut into pieces, take 5 qian per dose, 2 zhan of water, decoct to 7/10, take warm. If after 3-5 doses Cun pulse is still weak, add 2 fen of Xixin (Asari Radix et Rhizoma) to decoct. Why separate formulas for Fengzhong (Wind Strike) and Shanghan (Cold Damage) in the previous two sections? Because within three days of onset, Fengzhong (Wind Strike) may have slow pulse, Shanghan (Cold Damage) may have tight pulse. Although pulse manifests first, symptoms may not yet appear, allowing resolution via medicine, hence the formulas.
For a patient with floating, rapid, slow, or tight pulses in both hands, where Cun pulse is short and weaker than Guan/Chi, this is named Yin Excess and Yang Deficiency. If spontaneous sweating and aversion to wind occur, pathogen is in exterior, Yin Qi is surplus. *Suwen* states: "Yin surplus causes excessive sweating and body cold." Exterior formulas eliminating Yin and assisting Yang can be used. From after Start of Spring to before Clear Brightness, Liuwu Mahuang Tang (Six-Ingredient Ephedra Decoction) is primary. From after Clear Brightness to before Grain in Ear, Qiwi Chaihu Tang (Seven-Ingredient Bupleurum Decoction) is primary. From after Grain in Ear to before Start of Autumn, Fabiao Tang (Disperse Exterior Decoction) is primary.
Liuwu Mahuang Tang:
Mahuang (Ephedrae Herba) (de-node, 1 liang), Gegen (Puerariae Lobatae Radix), Cangzhu (Atractylodis Rhizoma) (each 7.5 qian), Renshen (Ginseng Radix), Zhi Gancao (Honey-fried Glycyrrhizae Radix et Rhizoma) (each 0.5 liang). Cut into pieces, take 5 qian per dose, 1 zhan of water, 2 jujubes, decoct to 7/10, take hot. If after 3-5 doses sweating persists with aversion to wind, add 7 qian of Jingjie (Perillae Folium); if after 3-5 doses no aversion to wind but sweating persists, add 0.5 liang of Dingpicao (Symplocos Racemosae Cortex).
Qiwi Chaihu Tang:
Chaihu (Bupleuri Radix), Cangzhu (Atractylodis Rhizoma) (each 2 liang), Jingjie (Perillae Folium), Mahuang (Ephedrae Herba) (each 1 liang), Zhi Gancao (Honey-fried Glycyrrhizae Radix et Rhizoma) (7 qian). Cut into pieces, take 5 qian per dose, 1 zhan of water, 1 piece of Shengjiang (Zingiberis Rhizoma Recens), 2 jujubes, decoct to 7/10, take hot. If after 3-5 doses sweating persists with aversion to wind, add 3 cun of Congbai (Allii Fistulosi Bulbus); if after 3-5 doses sweating still persists, add 1 liang of Danggui (Angelicae Sinensis Radix) to decoct.
Fabiao Tang:
Mahuang (Ephedrae Herba) (de-node, 1 liang), Cangzhu (Atractylodis Rhizoma) (2 liang), Renshen (Ginseng Radix), Danggui (Angelicae Sinensis Radix) (each 0.5 liang), Zhi Gancao (Honey-fried Glycyrrhizae Radix et Rhizoma), Dingpicao (Symplocos Racemosae Cortex) (each 7 qian). Cut into pieces, take 5 qian per dose, 1 zhan of water, 1 piece of Shengjiang (Zingiberis Rhizoma Recens), 3 jujubes, decoct to 7/10, remove dregs, take hot. If after 3-5 doses sweating persists with aversion to wind, add 7 qian of Guizhi (Cinnamomi Ramulus); if sweating persists, add 0.5 liang of Xixin (Asari Radix et Rhizoma), stopping when sweating ceases.
For a patient with floating, rapid, tight, or slow pulse, extending to Yuji point, Cun pulse larger than Guan/Chi, this is named Yang Excess and Yin Deficiency. If dizziness, stuffiness, dry mouth, and dry throat occur, pathogen is in exterior, Yang Qi is solely surplus. *Suwen* states: "Yang surplus causes body heat and no sweat." Exterior formulas eliminating Yang and assisting Yin can be used. From after Start of Spring to before Clear Brightness, Renshen Tang (Ginseng Decoction) is primary. From after Clear Brightness to before Grain in Ear, Qianhu Tang (Peucedane Decoction) is primary. From after Grain in Ear to before Start of Autumn, Shigao Tang (Gypsum Decoction) is primary.
Renshen Tang:
Renshen (Ginseng Radix) (0.5 liang), Chaihu (Bupleuri Radix) (1 liang), Shaoyao (Paeoniae Radix Alba), Zhi Gancao (Honey-fried Glycyrrhizae Radix et Rhizoma) (each 7.5 qian), Shigao (Gypsum Fibrosum) (2 liang). Cut into pieces, take 5 qian per dose, 1 zhan of water, 1 piece of Shengjiang (Zingiberis Rhizoma Recens), decoct to 7/10, take hot. If after 3-5 doses fever persists, add 30 grains of Chi (Fermented Soybean) to decoct.
Qianhu Tang:
Qianhu (Peucedani Radix) (1 liang), Shigao (Gypsum Fibrosum) (2 liang), Zhi Gancao (Honey-fried Glycyrrhizae Radix et Rhizoma) (0.5 liang), Jiegeng (Platycodonis Radix), Chi (Fermented Soybean) (each 7.5 qian). Take 5 qian per dose, 1 zhan of water, 5 slices of Shengjiang (Zingiberis Rhizoma Recens), decoct to 7/10, remove dregs, take hot. If after 3-5 doses fever persists, add 30 grains of Chi (Fermented Soybean) to decoct and take again.
Shigao Tang:
Shigao (Gypsum Fibrosum) (3 liang), Shaoyao (Paeoniae Radix Alba), Chaihu (Bupleuri Radix) (each 1 liang), Shengma (Cimicifugae Rhizoma), Huangqin (Scutellariae Radix), Zhi Gancao (Honey-fried Glycyrrhizae Radix et Rhizoma) (each 7.5 qian). Cut into pieces, take 5 qian per dose, 1.5 zhan of water, 1 he of Chi (Fermented Soybean), decoct to 8/10, take hot. If after 3-5 doses fever persists, add 1 liang of Zhimu (Anemarrhenae Rhizoma); if still unresolved, add 1 liang of Dahuang (Rhei Radix et Rhizoma).
For a patient with floating, rapid, tight, or slow pulses in both hands, all three positions forceful, no sweat, aversion to wind, this is excess of both Yin and Yang Qi. *Suwen* states: "Excess of Yin and Yang causes no sweat and cold." Medicines can be used to level it. From after Start of Spring to before Clear Brightness, Jieji Tang (Release Muscle Decoction) is primary. From after Clear Brightness to before Grain in Ear, Shaoyao Tang (Paeonia Decoction) is primary. From after Grain in Ear to before Start of Autumn, Zhimu Tang (Anemarrhena Decoction) is primary.
Jieji Tang